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1174831093
SHAWN DEMIAN KELLY
DAYTONA BEACH, FL
NPI
1174831093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN9431397)
Enumeration Date
2010-09-14
Last Update Date
2024-01-26
Business Address
Mr. SHAWN DEMIAN KELLY APRN
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117-5500
Phone number: 386-274-1414
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Mailing Address
Mr. SHAWN DEMIAN KELLY APRN
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117-5500
Phone number: 386-274-1414
Copy
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